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Testosterone deficiency is a common cause of depression in men and can often go unrecognized. As a psychiatrist, what I see is the either the depressed man who doesn’t get enough improvement with antidepressants or the man who is not particularly sad, but instead angry, irritable or anxious, or negative. Here are some of the other signs and symptoms of testosterone deficiency. Signs and symptoms of testosterone deficiency Behavioral Decreased assertiveness/increased submissiveness Decreased stress tolerance Irritability Depression or lowered mood Anxiety Dermatologic Loss of body and pubic hair (scalp hair is preserved) Diminished beard growth Thinning and drying of skin (decreased sebum production) Metabolic Mild anemia Diminished bone mineralization Obesity or increased body fat (men) Headaches Reduced muscle volume and strength Reduced general vigor and hardiness Asthenia Frailty (elderly) Sexual Decreased semen volume Erectile dysfunction Decreased sexuality (decreased libido, arousal, responsiveness) There are some things that have been linked to having low testosterone. They don’t necessarily cause it, but there is a link. These things are: Treated diabetes and obesity Having chronic headaches, Being over age 60 Having asthmas that has been treated and sleeping less than 5 hr/night There are some medications that can cause low testosterone Cholesterol-lowering agents like Lipitor Saw palmetto which is an over the counter treatment for enlarged prostate Flaxseed oil And a Zinc deficiency Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/questions, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor. I upload every Wednesday at 9am, and sometimes have extra videos in between. Subscribe to my channel so you don't miss a video https://goo.gl/DFfT33

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Are you tired of feeling sluggish and unmotivated? Do you want to boost your energy levels and improve your overall well-being? In this video, we'll show you how to naturally increase your testosterone levels without resorting to harmful supplements or medications. From diet and exercise to stress reduction techniques and sleep optimization, we'll cover the most effective ways to boost your testosterone and take control of your health. Whether you're looking to improve your athletic performance, increase your libido, or simply feel more confident and energized, this video is for you. So, let's dive in and discover the secrets to naturally boosting your testosterone!

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Tadalafil and sildenafil are both medications used to treat erectile dysfunction (ED), but they have different characteristics, mechanisms of action, and usage guidelines. Here is a detailed comparison of the two: Mechanism of Action Tadalafil: Inhibits phosphodiesterase type 5 (PDE5), which increases cyclic guanosine monophosphate (cGMP) levels. This results in smooth muscle relaxation and increased blood flow to the penis. Tadalafil also has a mild effect on PDE11. Sildenafil: Also inhibits PDE5, leading to increased cGMP levels and improved blood flow to the penis. It primarily affects PDE5. Duration of Action Tadalafil: Known for its longer duration of action, it can remain effective for up to 36 hours, earning it the nickname "the weekend pill." Sildenafil: Typically effective for 4-6 hours. Onset of Action Tadalafil: Generally starts working within 30 minutes to 2 hours after ingestion. Sildenafil: Usually takes effect within 30-60 minutes. Dosing Tadalafil: Can be taken as needed (10-20 mg) or once daily in a lower dose (2.5-5 mg) for those who anticipate frequent sexual activity. Sildenafil: Typically taken as needed, in doses of 25, 50, or 100 mg. Food Interactions Tadalafil: Can be taken with or without food, and its absorption is not significantly affected by food. Sildenafil: Absorption can be delayed and reduced by high-fat meals, potentially decreasing its effectiveness. Side Effects Tadalafil: Common side effects include headache, dyspepsia (indigestion), back pain, muscle aches, nasal congestion, flushing, and limb pain. Muscle aches and back pain are more unique to tadalafil. Sildenafil: Common side effects include headache, flushing, dyspepsia, nasal congestion, and visual disturbances (such as a blue tint to vision). Contraindications and Interactions Tadalafil: Should not be taken with nitrates or alpha-blockers, as it can cause significant drops in blood pressure. Caution is advised with other medications that affect blood pressure. Sildenafil: Also contraindicated with nitrates and certain alpha-blockers for the same reason. It can interact with various other medications, including some antifungals and antibiotics. Special Considerations Tadalafil: Often preferred for its longer duration, allowing more spontaneity. It’s also approved for treating benign prostatic hyperplasia (BPH) and pulmonary arterial hypertension under different brand names and dosages. Sildenafil: Sometimes preferred for its shorter duration, which may be suitable for men who do not want the effects to last as long. It’s also used to treat pulmonary arterial hypertension under a different brand name. Cost and Availability Both medications are available as generic versions, which are typically less expensive than the brand names (Cialis for tadalafil and Viagra for sildenafil). Effectiveness Both drugs are similarly effective for most men with ED, though individual response can vary. Some may respond better to one medication over the other. In summary, the choice between tadalafil and sildenafil often comes down to personal preference, lifestyle, and specific medical needs. Tadalafil’s longer duration may offer more flexibility, while sildenafil’s shorter duration may be preferable for others. Always consult with a healthcare provider to determine the best treatment option based on individual health conditions and needs. Thank you for subscribing and enjoy watching 😎 Please support this channel by hitting the like and subscribe buttons, and ring the bell to get updates!! Disclaimer: This is Non-Commercial and educational entertainment channel 🏡💪👆

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